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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z Z�p i0 cr vIN (�,4N i <br /> PID: <br /> DESCRIPTION OF WORK: �}0,0 �r�o N <br /> ZO.�tItii TG REVIEW BY: DATE APPROVED: g-�(-oS <br /> BUII�DING REVIE`V BY: DATE APPROVED: g-Y-aS <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �/ No SEWER CO�IVECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No _,� PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> Z0�1I�G CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes �_ No Date of Survey: o,v �=� � <br /> Proposed Setbacks: <br /> Fronc (�cc): lb5 � `� Righc Side: g 3� "r <br /> Rear (S�ee[): �,�(� t Left Side: �3� i- <br /> Adjacent Struccures: nJifl `Vetland: " <br /> Building Height: Def. Hgt. U•1�- Pea�:Hgt. — <br /> Lot Covera�e: �//1 <br /> Grading: Staff Approval Date: c9,�L By: �� Council Approval Date: <br /> Septic: Staff Approval Dace: �" By: <br /> Zonin� File: # �' Reso(ution: # Resolu[ion Date: <br /> Shoreland District: /�Jr1 <br /> Avg. Se[back: Bluff Setback: L.ot Coverage: <br /> Existin� Proposed <br /> O <br /> Hardcover: 0-75' <br /> 7�-2�0' <br /> 2�0-�0a' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Da�e of Council Approval: <br /> RE�L4RKS (in house): <br />